Appendix 11 - Invoice Template (IFB R00B4600179).xlsx
XLSX spreadsheet 46 KB Posted
- Attached to
- Farm to School Food Hub Aggregation
- Solicitation number
- BPM053674
- Issued by
- Maryland
About this file
Appendix 11 - Invoice Template Summary
This document is an invoice template provided by the Maryland State Department of Education (MSDE) for the Farm to School Food Hub Aggregation procurement initiative. The template serves as the standardized format that successful bidders must use when submitting invoices for payment of goods and services delivered under this Invitation for Bids (IFB R00B4600179). The template is designed to ensure consistent invoice submission and processing across all participating Local Education Agencies (LEAs) and the selected vendor(s) responsible for centralized sourcing, procurement, and distribution of unprocessed or minimally processed local food products.
The invoice template includes designated fields for essential billing information such as vendor identification, invoice number and date, itemized product descriptions, quantities supplied, unit prices, line item totals, and payment terms. The template is structured to facilitate accurate tracking of food deliveries to multiple LEAs participating in the National School Lunch Program and School Breakfast Program, enabling proper reconciliation of invoiced amounts against delivery records and contracted pricing. Use of this standardized template is a mandatory requirement for all vendors selected through this procurement process to ensure compliance with MSDE's accounting and payment procedures.
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Text version
Food Distribution
| Monthly Invoice (Attach Signed Delivery Receipts) | ||||||||||||||||||
| Company Name | ||||||||||||||||||
| Company Address | ||||||||||||||||||
| Date of Invoice | ||||||||||||||||||
| Invoice Number | ||||||||||||||||||
| Person Submitting Invoice | ||||||||||||||||||
| Email Address | ||||||||||||||||||
| MSDE Contract Number | ||||||||||||||||||
| Invoice Amount - Food | ||||||||||||||||||
| Invoice Amount - Processing /Storage | ||||||||||||||||||
| Total Invoice Amount | ||||||||||||||||||
| Date of Delivery | LEA Name | School Site | Address | Item | Item Size | Price per Item | Total Pounds (lbs) | Total Sales Value (Invoice Amount) | Meal Item Will Be Served | Origin of Food Producer Name | Address | City | State | Local Zip Code | Within 400 Miles of Delivery? | Socially Disadvantaged Producer? | Small Business? | Comments or Notes |
| Example: 9/25/2023 | Frederick County | Frederick High | 123 Farm Street | mushrooms | 10 lb case | $19.20 | 20 | $38.40 | breakfast and lunch | ABC Farm | 200 W Baltimore Street | Baltimore | MD | 21201 | Y | Y | Y | |
| Example: 9/27/2023 | Frederick County | Ellison Elementary | 123 School Lane | ground beef patties | 20 lb case | $100.00 | 120 | $600.00 | lunch | 123 Farm | 201 E. Hanover Street | Baltimore | MD | 21201 | Y | N | Y | |
| SUBTOTAL | $638.40 | |||||||||||||||||
| Example: 9/25/2023 | Garrett County | Garrett High | 678 School Lane | mushrooms | 10 lb case | $19.20 | 10 | $19.20 | lunch | ABC Farm | 200 W Baltimore Street | Baltimore | MD | 21201 | Y | Y | Y | |
| Example: 9/27/2023 | Garrett County | Mitchel Elementary | 1010 Farm Street | ground beef patties | 20 lb case | $100.00 | 40 | $200.00 | lunch | 123 Farm | 201 E. Hanover Street | Baltimore | MD | 21201 | Y | N | Y | |
| SUBTOTAL | $219.20 | |||||||||||||||||
| Example: 10/10/2023 | Total Invoice Amount - Food | $857.60 |
Processing & Storage
| Date | Service | Brief Description | Total Pounds | Cost | Business Name | Address | City | State | Zip Code | Within 400 Miles of Delivery? | Socially Disadvantaged? | Small Business? | Comments or Notes |
| Example: 9/13/2023 | Processing | slicing mushrooms | 30 lbs | $200 | TLC Processing | 625 Orchard St. | Elkton | MD | 21330 | Y | N | Y | |
| Example: 9/14/2023 | Storage | storing mushrooms | 30 lbs | $100 | XYZ Warehouse | 325 Cherry Lane | Baltimore | MD | 21224 | Y | N | Y |
Example: 10/10/2023 Total Invoice Amount - Processing/Storage $300
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